Kazan medical journalKazan medical journal0368-48142587-9359Eco-Vector229910.17816/KMJ2299Research ArticleOn improving medical care for patients with metastatic tumors of the central nervous system in the Republic of TatarstanDanilovV I-KhasanovR Sh-AlekseevA G-ShakirovK T-NasherA Aabdulgany@mail.ruKazan State Medical University, Kazan, RussiaRepublican Clinical Oncology Dispensary, Kazan, RussiaInterregional Clinical Diagnostic Center, Kazan, Russia1504201293224124528032016Copyright © 2012, Danilov V.I., Khasanov R.S., Alekseev A.G., Shakirov K.T., Nasher A.A.2012Aim. To optimize medical care for patients with metastatic tumors of the central nervous system in the Republic of Tatarstan. Methods. The database of the Cancer Registry of the Republican Clinical Oncology Dispensary of the Ministry of Health Care of the Republic of Tatarstan and the case histories of patients treated in the neurosurgical departments for the period from 1998 to 2007 served as the material for this study. Results. Lung cancer, breast cancer, kidney cancer and melanoma were the most frequent types of cancers to metastasize to the central nervous system. There was a significant discrepancy between the predicted and the detected number of patients with metastatic lesions of the central nervous system. Studied was the quality of medical care provision to this category of patients. In the Republic of Tatarstan established is a modern instrumental base for the timely diagnosis of metastatic lesions of the central nervous system and their complex treatment in accordance with the current guidelines. However, the effectiveness of diagnostic and therapeutic measures still remains unsatisfactory. Conclusion. A set of measures for optimizing medical care for patients with metastatic tumors of the central nervous system has been developed in the Republic of Tatarstan.central nervous systemmetastatic tumorsimproving medical careRepublic of Tatarstanцентральная нервная системаметастатические опухолисовершенствование медицинской помощиРеспублика Татарстан[Лошаков В.А. Интракраниальные метастатические опухоли // Основы нейрохир. - 2004. - Т. 3. - С. 402-407.][Мартынов Б.В., Гайдар Б.В., Щиголев Ю.С., Труфанов Г.Е. Метастатические опухоли головного мозга. Практическая нейрохирургия (руководство для врачей). - СПб.: Гиппократ, 2002. - С. 476-485.][Никифоров А.С., Коновалов А.Н., Гусев Е.И. Клиническая неврология. - М.: Медицина, 2003. - Т. 3. - С. 402-406.][Олюшин В.Е., Улитин А.Ю., Сафаров Б.И. Лечение метастазов в головной мозг // Вопр. онкол. - 2006. - Т. 52, №4. - С. 438-442.][Улитин А.Ю., Олюшин В.Е., Сафаров Б.И., Мацко Д.Е. Метастатические опухоли головного мозга. - СПб., 2010. - С. 7-27, 357-372.][Arnold S.M., Patchell R.A. Diagnosis and management of brain metastases // Hematol. Oncol. Clin. North Amer. - 2001. - Vol. 15. - Р. 1085-1107.][Hall W.A., Djalilian H.R., Nussbaum E.S., Cho K.H. Long-term survival with metastatic cancer to the brain // Med. Oncol. - 2000. - Vol. 17. - P. 279-286.][Mark S. Greenberg handbook of neurosurgery, 6th ed. - Thieme, 2006. - P. 484-491, 516-521.][Wen P.Y., Loeffler J.S. Brain metastases // Curr. Treat. Option. Oncol. - 2000. - Vol. 1. - P. 447-458.][Van de Bent M.J. The diagnosis and management of brain metastases // Curr. Opin. Neurol. - 2001. - Vol. 14. - P. 717-723.]